2017—2021年珠海市金湾区户籍居民恶性肿瘤发病流行特征分析

Epidemiological characteristics of malignant tumors among registered residents in Jinwan District of Zhuhai City form 2017 to 2021

目的分析2017—2021年珠海市金湾区户籍居民恶性肿瘤发病流行特征,为今后开展恶性肿瘤防治及健康宣传教育提供数据支撑。方法收集整理2017—2021年珠海市金湾区户籍居民恶性肿瘤发病数据,使用R 4.2.2软件对粗发病率、中标率、发病年龄中位数、发病顺位等指标进行流行特征分析,使用Joinpoint 4.9.1.0软件分析发病趋势,检验水准α=0.05。结果2017—2021年珠海市金湾区户籍人口年平均粗发病率为271.49/10万,中标率为205.72/10万,其中男性与女性粗发病率差异无统计学意义(χ^(2)=3.32,P=0.068);年龄超过55岁,在不同年龄组男性恶性肿瘤粗发病率均高于女性;2017—2021年户籍全人群、男性和女性恶性肿瘤粗发病率趋势呈现“无转折点”的平稳趋势;恶性肿瘤发病年龄中位数为59岁,其中男性发病年龄中位数高于女性,且男性与女性发病年龄中位数差异有统计学意义(W=881079,P<0.001);恶性肿瘤癌谱及发病顺位前10位分别为气管、支气管和肺癌、甲状腺癌、肝癌、乳腺癌、结肠癌、宫颈癌(女性)、子宫体癌(女性)、前列腺癌(男性)、鼻咽癌和直肠癌。结论2017—2021年珠海市金湾区户籍居民恶性肿瘤粗发病趋势整体平稳;女性恶性肿瘤发病年龄中位数早于男性;主要发病癌谱为气管、支气管和肺癌、甲状腺癌、肝癌、乳腺癌、结肠癌、宫颈癌(女性)、子宫体癌(女性)、前列腺癌(男性)、鼻咽癌和直肠癌,应重点加强防控。

Objective To analyze the epidemic characteristics of malignant tumors among registered residents in Zhuhai Jinwan during 2017 to 2021,and to provide data support for cancer prevention and health education in the future.Methods Incidence data of malignant tumors of registered residents in Zhuhai Jinwan during 2017 to 2021 were collected.R 4.2.2 software was used to analyze the epidemic characteristics of crude incidence,bid winning rate,median age of onset,incidence sequence and other indicators.Joinpoint 4.9.1.0 software was adopted to analyze incidence trends,Significance level was set asα=0.05.Results The average annual crude incidence of registered residents in Jinwan District of Zhuhai City during 2017 to 2021 was 271.49/105,and the bid winning rate was 205.72/105.The crude incidence rate of men and women was not statistically significant(χ^(2)=3.32,P=0.068).The crude incidence rate of malignant tumors in men is higher than that in women in different age groups over 55 years.From 2017 to 2021,the trend of crude incidence of malignant tumors among the whole population,men and women with registered residence registration showed a stable trend of“no turning point”.The median age of onset of malignant tumors was 59 years;males had a higher median age of onset than females(W=881079,P<0.001).The top 10 types in cancer spectrum and incidence order were tracheal,bronchial and lung cancer,thyroid cancer,liver cancer,breast cancer,colon cancer,cervical cancer(female),uterine body cancer(female),prostate cancer(male),nasopharyngeal cancer and rectal cancer.Conclusions From 2017 to 2021,the overall trend of malignant tumor incidence was stable among registered residents in Jinwan District of Zhuhai.The median age of onset of malignant tumors in women is earlier than that in men.The main cancer spectrum is trachea,bronchus and lung cancer,thyroid cancer,liver cancer,breast cancer,colon cancer,cervical cancer(female),uterine body cancer(female),prostate cancer(male),nasopharyngeal cancer and rectal cancer,which should focus on strengthening prevention.